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OM SPACE ACADEMY
Course Sign-up Form
课程报名表格
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Student Personal Information
称呼 Nickname
*
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Ms.
Mrs.
Dr.
Prof.
Dato
Datin
Dato Sri
Datin Sri
Prefix
Nickname
全名 Ful Name per IC
*
电话号码 Phone Number
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电邮 Email
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Course Sign-up Details
选择课程类型 Select Course Category
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线下工作坊 Workshop
专业文凭课程 Professional Programme
线下工作坊 Workshop
开创新思维 三天工作坊 Make Your Own Success 3 Days Workshop
财富能量学 两天工作坊 Art of Wealth Energy 2 Days Workshop
唤醒之旅 Awakening Retreat
专业文凭课程 Professional Programme
导师班 - 国际认证催眠治疗师证书课程 Professional Certificate of Hypnotherapy Practice
报名人数 Number of Pax
*
一人 One Pax
两人同行 Two Pax
付款方式 Payment Method
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现金 Cash
银行转账 Bank Transfer / Duitnow
银行卡 Bank Card (Visa / Master / Amex)
付款形式 Payment Style - Workshop
全款 Full Payment
定金 Deposit - RM2000
分期付款 Instalment Plan
付款形式 Payment Style - Professional Programme
全款 Full Payment
定金 Deposit - RM2000
分期付款 Instalment Plan
同意书 Agreement
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I hereby agreed to commit the following course registration process, included but not limited to complete in course registration form, consent in Course and Programme Policy and relevant policies.
是,我同意。 Yes, I Agree.
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